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HomeMy WebLinkAboutApplication.4°P4kil') AK c ! z, -fi l 7c ei 108 8th Street, Suite 401, Glenwood Springs, CO 81601 6' 9e'/�I Ph: 970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306 °lG? A% ©J 'C�. www.gartield-county.com GS c BUILDING PERMIT APPLICATION 1 Parcel No: (this information is available at the assessors office 970.943-9134) Z1(07 683 62 0o 1 Lot No: Block No: Subd./ Exemption: Ti. ,f' 1 7;4,v CefiifW F.1•145 F 2 Job Address: Wan address has not been assigned, please provide CR, HWY or Street Name & City) or and legal description Se° ehltirW trail. 4 S: to/3 rte 114 lir 3 Owner: (property owner) 6'rotta IR.4vtu, fsp; ivel Dia -4r Meiling Address: EIN4 4RDA Ph: q70 $' 26-6‘(68 Alt Ph: 4 Contractor: FC.i Mailing Addre s: 3o 7b x-70 311,44&&A- Ph: 4ct,bL{K Alt Ph: „ami fY'j,1 97o- Z7O•-aZBL/ —g /Lp, 'b (13Y '90'13 5 Manufactured ho» p installer: I/f�r// Mailing Address: Ph: tic #: 6 rch'tect: ¢4. Mailing Address: 230( r3Wee. Si" Ph: 303 - 84/-64%6 Alt Ph: 7 Enpineer: 54-�r+ ro l CeInV iirkt s Mailing Address: Moo e.t�c� 14-v5.3'Aq Sq. Ft. or Acres of t: ir•or Ph: - 61641 Height: 38 Alt Ph: No. of Floors: 2 8 Sq. Ft. of Building: 315.(36 9 Use of Building: Class of Work: ❑Residential Wommercial ❑Other)afiew DAlteration ❑Addition ❑Repair ❑Dema ❑Move r 10 Describe Work: A6.,' MO!? c.7c!<-e—Ci 1 1 Garage: DAttached ❑Detached Septic: ❑15DS �,ildCLom Vern/nullity Type of Heat: ❑Nat. Gas ❑Propane ❑Electric DOther 12 Driveway Permit: Owners valuation of Work.' r 1 4 006, CVO NOTICE Authority. This application fora Building Permit must be signed by the Owner of the property, described above, or an authorized agent, lithe signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Least Access, A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department. Other Permits, Multiple separate permits may be required: (1) Slate Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit, Void PermiE, A Building Permit becomes mill and void if the work authorised is not commenced within I80 days of the date of issuance and if work is suspended or abandoned for a period of 1 SO days after commencement. CERTIFICATION 1 hereby certi fy that 1 have read this Application and that the information contained above is true and correct. I understand that the Building Department accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Department. In consideration of the issuance of the Building Permit, 1 agree that 1 and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Department to enter the property, described above, to inspect the work, I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from; (I) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law Review of this Application, including submittals, and inspections of the work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, 1 acknowledge that responsibility for compliance with federal, stale and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or builder. I HEREBY KN LEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: 2 2Q 2. -- RS SIGNATURE DATE 5VOF F USE ONLY C5:30 �iy��Cra� C"�3d-X44{3-� Special Conditions: Adjusted Valuation: q, Pi 8 giC3. 66 Plan Check Fee: if i 3 2 1. 3 8 Permit Fee: ) -i, Li 17,_,c0..—__ Mama home Fee: Misc Fees: ..— Total Fees: 28,13,8. g8 .9873tss Fees Paid: P _ ,/160-L97117 Dalanee Due: BP No& Issue Date: ISDS No & Issued Date: Gitlin Setbacks:- Rst0'z5 S 25 OCC Group: r Const Type: 1E 7P0?) in• DE f#9 121 3/ 9 1'' D .3/e - 1// APPROVAL DATE APPROVAL DATE Applicant Address Date VALUATION FEE DETERMINATION Grand River Hospital District TBD Sipprille Dr. Parachute 1/8/2013 Subdivision Lot/Block Contractor Finished (Livable Area): Main sq.ft Upper sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 0 sq.ft Total Valuation Basement: Unfinished Conversion of Unfinished to Finished Other Total Valuation Garage/Storage (wood framed) Conversion of garage to finished living Carport Other Total Valuation Crawl Space Total Valuation Decks/ Patios/Porches Covered Open Other Total Valuation Type of Construction: II B Occupancy: B B Total Valuation sq.ft X $4L00 sq.ft X $33.68 sq.ft X sq.ft X $18.00 sq.ft X $56.68 sq.ft X $12.00 sq.ft X sq.11 X $9.00 sq.ft X $24.00 sq.ft X $12.00 sq.ft X Commercial 15915 23020 sf X sf X sf X sf X sf X sf X $106.56 $106.56 B"ment Mesa, Town Center Filing 6 Lot 1 FCI Constructors 0.00 0.00 0.00 0.00 0.00 4,148,913.60 Total Valuation 4,148,913.60 NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The building department will collect a Plan Review fee at time of application submittal. The Permit Fee, as well as any Septic or Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by a person having written authority from the owner to act as their representative. hereby acknowledge I have read, understand, and will abide with the requirements of this checklist. Signa ure of Owner i 2 /2G �r2 Date Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.garfield-couny.com Building Plan Review Description of Work: New MOB building Bin #: Location Address: Spencer PKWY PARACHUTE, CO General Information Contacts Case Manager: David Bartholomew Pian Case Number: BLDG -12=12-7458 Parcel: 240708302001 Application Date: 12/27/2012 Owner: GRAND RIVER HOSPITAL DISTRICT Applicant: GRAND RIVER HOSPITAL DISTRICT Applicant Phone: Email: Building Engineered Foundation Driveway Permit Surveyed Site Pian PlanninglZoninq Property Line Setbacks % 30ft Stream Setbacks Flood Plain Septic Permit and Setbacks Building height Grade/Topography 30% Zoning Sign -off 1j/A Attach Residential Pian Review List Road Impact Fees I ! ` Minimum Application Questionnare HONDRC Approval Subdivision Plat Notes / Grade/Topography 40% Fire Department Review Planning Issues Valuation Determination/Fees Subdivision Plat Red Line Plans/Stamps/Sticker General Comments: Attach Conditions NSA Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Tuesday, January 8, 2013 CONDITIONS OF PERMIT BLCO-12-12-2719 Grand River Hospital District Healthcare Facility TBD Sipprelle Dr. Parachute, Colorado 1) PRIOR TO CONSTRUCTION, PROVIDE A COPY OF THE STORMWATER DISCHARGE PERMIT. 2) PRIOR TO CONSTRUCTION, PROVIDE A COPY OF THE ROAD CUT PERMIT FROM THE GARFIELD COUNTY ROAD & BRIDGE DEPARTMENT. 3) ALL WORK MUST COMPLY WITH THE 2009 IBC, IMC, IPC, IFGC, IFC, IECC AND MANUFACTURERS INSTALLATION SPECIFICATIONS. 4) ALL WORK MUST COMPLY WITH THE CONDITIONS OF THE BATTLEMENT MESA PUD. 5) ALL WORK MUST COMPLY WITH STATE AND FEDERAL REGULATIONS. 6) OPEN -HOLE SOILS REPORT IS REQUIRED AT FOOTING INSPECTIQN, 4000 PSF. 7) ALL HIGH STRENGTH BOLTING AND FIELD WELDING REQUIRES SPECIAL INSPECTOR. APPROVAL REPORT IS REQUIRED AT FRAMING INSPECTION. 8) LOCAL FIRE DISTRICT SHALL INSPECT FIRE SUPRESSION SYSTEM, EXTINQUISHERS, ALARMS, AND OTHER PERTINENT IFC REQUIREMENTS. FIRE DISTRICT FINAL APPROVAL LETTER REQUIRED FOR CERTIFICATE OF OCCUPANCY. 9) STORAGE OF HAZARDOUS MATERIALS PER 2009 IBC AND IFC REQUIREMENTS. 10) PENETRATIONS OF FIRE RATED ASSEMBLIES PER IBC SECTION 713. 11) ACCESSIBILTY REQUIREMENTS PER 2009 IBC, CHAPTER 11 AND ICC/ANSI A117.1-2003. 12) ELEVATOR PERMITTING AND INSPECTIONS THROUGH THE NORTHWEST COLORADO COUNCIL OF GOVERNMENTS. (NWCOG 970-468-0295 EXT 108) 13) ELECTRICAL PERMITTING AND INSPECTIONS THROUGH THE COLORADO STATE ELECTRICAL BOARD. (303-869-3458) 14) VERIFY EXIT DIRECTIONAL SIGNAGE PRIOR TO ELECTRICAL ROUGH -IN INSPECTIN. 15) ELECTRICAL ROUGH IN APPROVAL IS REQUIRED PRIOR TO FRAME INSPECTION. 16) ELECTRICAL FINAL APPROVAL IS REQUIRED FOR CERTIFICATE OF OCCUPANCY. 17) IECC, CH. 5 COMPLIANCE REPORT REQUIRED PRIOR TO FINAL MECHANICAL INSPECTION. 18) A REVEGITATION PLAN IS REQUIRED PRIOR TO CO/FINAL INSPECTION. 19) LOCKS, LATCHES AND LANDINGS PER 2009 IBC, SECTION 1008. 20) LIGHT AND VENTILATION PER 2009 IBC, CHAPTER 12. STATE OF COLORADO John W. Hickenlooper, Governor Christopher E. Urbina, MD, MPH Executive Director and Chief Medical Officer Dedicated to protecting and Improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Denver, Colorado 80246-1530 Phone (303) 692-2000 Located in Glendale, Colorado httpJ/www.cdphe.state.co.us 1/29/2013 Robert Wilson, Plant Ops Supv Grand River Hospital District PO Box 912, 501 Airport Rd Rifle, CO 81650 Laboratory Services Division 8100 Lowry Blvd. Denver, Colorado 80230-6928 (303) 692-3090 Colorado Department of Public Health and Environment RE: Certification, Colorado Discharge Permit System Permit No., COR030000, Certification Number: COR03K113 Dear Mr./Ms- Wilson; The Water Quality Control Division (the Division) has reviewed the application submitted for the Battlement Mesa medical Office Bldg facility and determined that it qualifies for coverage under the COPS General Permit for Stormwater Discharges Associated with Construction Activities (the permit). Enclosed please find a copy of the permit certification, which was issued under the Colorado Water Quality Control Act. Facility: Battlement Mesa medical Office Bldg Construction Activities: Commercial Development, Legal Contact (receives all legal documentation pertaining to the permit certification): Garfield County Robert Wilson, Plant Ops Supv Grand River Hospital District PO Box 912, 501 Airport Rd Rifle, CO 81650 Facility Contact (contacted for general Inquiries regarding the facility): Doug Swann, Proj Supt Billing Contact (receives the Invoice pertaining to the permit certification): Brad Keller, Proj Mgr Grand River Hospital District PO Box 1767 Grand Junction, CO 81502 Any changes to the contacts listed above must be provided to the Division on a Change of Contact form. This form is available on the Division's website at coloradowaterpermits.com. Phone number: 970-625-6584 Email: rwilson@grhd,org Phone number: 970-683-0664 Email: dswann@fciol.com Phone number: 970-434-9093 Email: bkeller@fciol.com The Annual Fee for this certification is $245.00, and is invoiced eve ry July. Do Not Pay This Now. The initial prorated invoice will be sent to the legal contact shortly. The Division is currently developing a new permit and associated certification for the above permitted facility. The development and review procedures required by law have not yet been completed, The Construction 5tormwater General Permit, which will expire June 30, 2012, will be administratively continued and will remain in effect under Section 104(7) of the Administrative Procedures Act, C.R.S. 1973, 24-4-101, et seq (1982 rept. vol. 10) until a new permit/certification is issued and effective. The renewal for this facility will be based on the application that was received 1/28/2013. Please read the enclosed permit and certification, If you have any questions please contact Matt Czahor, Environmental Protection Specialist, at (303) 692-3575. Sincerely, r • Karen Harford, Administrative Assistant 11 WATER QUALITY CONTROL DIVISION Enclosures: Certification page; General Permit; Highlight Sheet; Termination form xc: Permit File /keh cert t:4 476 Colorado Department of Publk lmith and Environment CERTIFICATION TO DISCHARGE UNDER CDPS GENERAL PERMIT COR -0300000 STORMWATER ASSOCIATED WITH CONSTRUCTION ACTIVITIES Certification Number: CORO3K113 This Certification to Discharge specifically authorizes: Grand River Hospital District to discharge stormwater from the facility identified as Battlement Mesa medical Office Bldg To the waters of the State of Colorado, including, but not limited to: - Colorado River Facility Industrial Activity : Commercial Development, Facility Located at: 201 Sipprelle Dr, Parachute Garfield County, CO 81635 Latitude 39/26/44.7, Longitude -108/01/29.2 Certification is effective: 1/29/2013 Certification Expires: 6/30/2012 ADMINISTRATIVELY CONTINUED This certification under the permit requires that specific actions be performed at designated times. The certification holder is legally obligated to comply with all terms and conditions of the permit. Signed, Nathan Moore Construction/MS4/Pretreatment Unit Manager Water Quality Control Division Page 1 of 22